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MRS. OLIVIA OBAZUGHANMWEN APRN, FNP-C
NPI 1124689781
Nurse Practitioner - Family in Dallas, TX

Active since June 25, 2019PECOS EnrolledAccepts Medicare Assignment
621 N HALL ST, DALLAS, TX 75226(214) 402-0849 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2026, Dec 23, 2025 (2 updates tracked since 2025).

About Mrs. Olivia Obazughanmwen Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. OLIVIA OBAZUGHANMWEN APRN, FNP-C (NPI 1124689781) is an individual family provider in Dallas, Texas, licensed in Texas (F06192366) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124689781
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. OLIVIA OBAZUGHANMWENCredential: APRN, FNP-C
Location Address621 N HALL STDallas, TX 75226-1339
Mailing Address621 N Hall StDallas, TX 75226-1339
Phone(214) 402-0849
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 25, 2019
Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1124689781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · F06192366
621 N HALL ST, Dallas, TX 75226
Open in Google Maps ↗

Secondary Practice Location 1

Location 18210 Walnut Hill Ln Ste 505Dallas, TX 75231-4420 · Phone (214) 345-4160 · Fax (214) 345-4165

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Olivia Obazughanmwen Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597170084
PECOS Enrollment IDI20210216000172
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN HYLAND M.D.
Internal Medicine (Cardiovascular Disease)
621 N HALL ST, SUITE 400
DALLAS, TX 75226
Dallas County (214) 826-5000
DR. KEVIN R WHEELAN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
621 N HALL ST, SUITE 400
DALLAS, TX 75226
Dallas County (469) 800-7400
BAYLOR HEART & VASCULAR CENTER LLP
Nurse Practitioner
621 N HALL ST
DALLAS, TX 75226
Dallas County (214) 820-0650
MILTON PACKER MD
Internal Medicine (Cardiovascular Disease)
621 N HALL ST
DALLAS, TX 75226
Dallas County (214) 820-7500
CARDIOLOGY CONSULTANTS OF TEXAS
Internal Medicine (Cardiovascular Disease)
621 N HALL ST, SUITE 400
DALLAS, TX 75226
Dallas County (214) 596-2870
DR. ROBERT C KOWAL MD
Internal Medicine (Clinical Cardiac Electrophysiology)
621 N HALL ST, SUITE 400
DALLAS, TX 75226
Dallas County (469) 800-7400
STEPHEN E HOHMANN MD
Surgery (Vascular Surgery)
621 N HALL ST, STE 100
DALLAS, TX 75226
Dallas County (214) 821-9600
RON BARRETT PA
Physician Assistant (Medical)
621 N HALL ST, SUITE 400
DALLAS, TX 75226
Dallas County (214) 826-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Obazughanmwen's NPI number?

The NPI number for Olivia Obazughanmwen is 1124689781. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Where is Olivia Obazughanmwen located?

Olivia Obazughanmwen practices at 621 N Hall St, Dallas, TX 75226. The listed phone number is (214) 402-0849.

What is Olivia Obazughanmwen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Olivia Obazughanmwen enrolled in Medicare?

Yes. Olivia Obazughanmwen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Olivia Obazughanmwen was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.